Senning A
Ann Thorac Surg. 1998 Oct;66(4):1420-1. doi: 10.1016/s0003-4975(98)00791-7.
Pulmonary embolectomy is usually performed in cardiopulmonary bypass. In acute situations too much time can be lost in setting up and connecting the pump oxygenator; this delay can cause cerebral damage in a patient with circulatory arrest. In such a situation left anterior thoracotomy can provide an ideal approach. An emergency thoracotomy can be performed in a few seconds. The lung automatically retracts. The phrenic nerve, pulmonary artery, and pericardium are clearly seen, and they outline the area for embolectomy. A case in which such an approach was successfully used is described.
肺栓子切除术通常在体外循环下进行。在急性情况下，安装和连接体外循环泵氧合器会浪费太多时间；这种延迟可能会导致循环骤停患者出现脑损伤。在这种情况下，左前开胸术可提供理想的手术入路。紧急开胸术可在几秒钟内完成。肺会自动回缩。膈神经、肺动脉和心包清晰可见，它们勾勒出了栓子切除术的区域。本文描述了成功使用这种手术入路的一个病例。
